SANFORD HEALTH NETWORK (NPI# 1760676886) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760676886 |
| Entity Type | Organization |
| Organization Name | SANFORD HEALTH NETWORK |
| Other Organization Name | SANFORD CHILDREN'S ABERDEEN CLINIC |
| Practice Address |
3015 3rd Ave Se Ste 104 Aberdeen SD 57401-5539 |
| Mailing Address |
Po Box 5074 Sioux Falls SD 57117-5074 |
| Practice Telephone | 6057256700 |
| Practice Fax Number | 6057256708 |
| Mailing Telephone | 6053286585 |
| Mailing Fax Number | 6053286512 |
| Enumeration Date | 2007-08-31 |
| Last Update Date | 2020-07-06 |
| Authorized Official Name | TONY LEE MORRISON (VICE PRESIDENT, REVENUE CYCLE) |
| Authorized Official Telephone | 6053288380 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Sanford Children's Aberdeen Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134787930 | Sanford Health Network | Clinic/Center | 215 N Market St, Suite 2, Lake Park, IA 51347-7706 | 2019-06-05 |
| 1073973483 | Sanford Health Network | Family Medicine | 733 Main St, Ste A, Edgerton, MN 56128-3000 | 2016-02-26 |
| 1376857664 | Sanford Health Network | Family Medicine | 15 S Plum St, Vermillion, SD 57069-3345 | 2010-07-29 |
| 1679726111 | Sanford Health Network | Family Medicine | 3971 320th St, Boyden, IA 51234-7500 | 2008-10-28 |
| 1033306931 | Sanford Health Network | Clinic/Center | 830 8th St, Walnut Grove, MN 56180-1117 | 2007-09-25 |
| 1962699868 | Sanford Health Network | Clinic/Center | 551 Us Highway 14, Balaton, MN 56115-3231 | 2007-09-25 |
| 1710006739 | Sanford Health Network | Hospice Care, Community Based | 304 N Mckenzie St, Luverne, MN 56156-1526 | 2007-03-29 |
| 1407922321 | Sanford Health Network | Clinic/Center | 700 N Monroe St, Minneota, MN 56264-9237 | 2006-11-24 |
| 1033140454 | Sanford Health Network | Clinical Nurse Specialist | 400 N Hiawatha Drive, Canton, SD 57013 | 2006-07-05 |
| 1770524555 | Sanford Health Network | Skilled Nursing Facility | 603 Louisiana Avenue, Adrian, MN 56110 | 2006-06-10 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | SANFORD HEALTH NETWORK | 1305 W. 18th Street, Po Box 5039, Sioux Falls, SD 57117 |
| System for Award Management (SAM) Entities | SANFORD HEALTH NETWORK NORTH | 801 Broadway N, Fargo, ND 58102-3641 |
| Street Address |
3015 3RD AVE SE STE 104 |
| City | ABERDEEN |
| State | SD |
| Zip Code | 57401-5539 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528582723 | Sheilla Kiconco | Pediatrics | 3015 3rd Ave Se Ste 104, Aberdeen, SD 57401-5539 | 2017-07-29 |
| 1215199500 | Bobby Goeman | Nurse Practitioner | 3015 3rd Ave Se Ste 104, Aberdeen, SD 57401-5539 | 2008-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679002950 | Brenda Lee Pence | Registered Nurse | 305 S. State St., Aberdeen, SD 57401 | 2017-06-08 |
| 1104366475 | Jordan Shangreaux | Specialist/Technologist | 2200 S Roosevelt St, Aberdeen, SD 57401 | 2017-03-06 |
| 1205387545 | Midwest Medical Transport Company, LLC-aberdeen, Sd | Ambulance | 2919 Industrial Avenue, Aberdeen, SD 57401 | 2016-10-21 |
| 1356752471 | Cameron Eichler Enterprises | Hearing Aid Equipment | 110 6th Ave Se Ste 106, Aberdeen, SD 57401 | 2014-05-12 |
| 1184059412 | Richard Allen Ward IIi | Hearing Instrument Specialist | 1315 6th Avenue Se, Suite 4, Aberdeen, SD 57401 | 2013-09-05 |
| 1427395540 | Matthew William Svensen | Physical Therapist | 1109 S Jay St, Aberdeen, SD 57401 | 2013-01-09 |
| 1750655940 | Robert Ashly Froke | Audiologist | 121 4th Ave Sw-suite 1, Natural Hearing Center, Aberdeen, SD 57401 | 2012-03-06 |
| 1457504862 | Rodney S Johnson | Counselor | 14 S Main St Ste 1e, Aberdeen, SD 57401 | 2008-10-29 |
| 1518115005 | Dakota Chiropractic of Aberdeen, PC | Chiropractor | 520 Moccasin Drive, Aberdeen, SD 57401 | 2008-09-09 |
| 1558554626 | Tiffany Zimmerman Hoeft | Speech-Language Pathologist | 39515 Pintail Ave, Aberdeen, SD 57401 | 2007-08-22 |
| Find all providers in zip 57401 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720262421 | Sean Rae White | Pediatrics | 1812 Summer Ave, Aberdeen, WA 98520 | 2007-12-18 |
| 1700965753 | Carmen Cabailo Briones | Pediatrics | 615 North F Street, Aberdeen, WA 98520 | 2006-11-02 |
| 1083721922 | William Steven Hutton | Pediatrics | 1100 Basich Blvd, Aberdeen, WA 98520-1066 | 2006-08-24 |
| 1497711824 | Julie M Mayo | Pediatrics | 1440 15th Ave Nw, Aberdeen, SD 57401-1846 | 2006-04-25 |
| 1629040894 | Tracy Lynne Russell | Pediatrics | 611 N F St, Ste 201, Aberdeen, WA 98520-2667 | 2006-02-02 |
| 1528582723 | Sheilla Kiconco | Pediatrics | 3015 3rd Ave Se Ste 104, Aberdeen, SD 57401-5539 | 2017-07-29 |
| 1952699266 | Sana Khizer | Pediatrics | 3015 3rd Ave Se, Ste 120, Aberdeen, SD 57401-5418 | 2011-07-20 |
| 1912292756 | Taha Saif | Pediatrics | 3015 3rd Ave Se, Aberdeen, SD 57401-5418 | 2011-06-09 |
| 1518266170 | Maria T. Martinez | Pediatrics | 615 North F Street, Aberdeen, WA 98520 | 2011-03-22 |
| 1215132386 | Kathryn E Zeigler | Pediatrics | 915 Anderson Dr, Aberdeen, WA 98520-1097 | 2007-06-19 |
| Find all providers in ABERDEEN | ||||
Please comment or provide details below to improve the information on SANFORD HEALTH NETWORK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.